NCT03213483

Brief Summary

The aim of this study will be to clinically assess the soft tissue augmentation achieved by the de-epithelialized free gingival graft with coronally advanced flap versus the subepithelial connective tissue graft with coronally advanced flap as root coverage procedures for management of patients with Miller class I and II gingival recession.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
28

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 6, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 11, 2017

Completed
3 months until next milestone

Study Start

First participant enrolled

October 17, 2017

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 27, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 27, 2019

Completed
Last Updated

August 13, 2019

Status Verified

August 1, 2019

Enrollment Period

1.6 years

First QC Date

July 6, 2017

Last Update Submit

August 11, 2019

Conditions

Keywords

gingival recessionconnective tissue graftdeepithelialized free gingival graftfree gingival graft

Outcome Measures

Primary Outcomes (1)

  • Gingival Thickness

    Thickness of the gingival tissues 2 mm from the free gingival margin

    6 months

Secondary Outcomes (7)

  • Percentage of root coverage

    6 months

  • Root coverage esthetic score

    6 months

  • Post-Operative Pain

    Two weeks

  • Post-operative stress

    Two weeks

  • Post-operative bleeding

    Two weeks

  • +2 more secondary outcomes

Study Arms (2)

Subepithelial connective tissue graft

ACTIVE COMPARATOR

Patients will receive a coronally advanced flap surgery with a subepithelial connective tissue graft for recession coverage.

Procedure: Coronally advanced flap and subepithelial connective tissue graft

De-epithelialized free gingival graft

EXPERIMENTAL

Patients will receive a coronally advanced flap surgery with a de-epithelialized free gingival graft for recession coverage.

Procedure: Coronally advanced flap and deepithelialized free gingival graft

Interventions

The connective tissue graft is obtained by a single line incision from the palate.

Subepithelial connective tissue graft

The connective tissue graft is obtained by deepithelialization of a free gingival graft.

De-epithelialized free gingival graft

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients 18 years or older.
  • Periodontally and systemically healthy.
  • Buccal recession defects classified as either Miller class I or II.
  • Presence of identifiable Cementoenamel juction (Zucchelli et al., 2010).
  • Clinical indication and/or patient request for recession coverage.
  • O'Leary index less than 20% (O'Leary et al., 1972).

You may not qualify if:

  • Miller class III or IV recession defects.
  • Pregnant females.
  • Smokers as smoking is a contraindication for any plastic periodontal surgery (Khuller, 2009).
  • Handicapped and mentally retarded patients.
  • Patients undergoing radiotherapy.
  • Teeth with cervical restorations, abrasion.
  • Presence of systemic disease that would affect wound healing.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Faculty of Oral and Dental Medicine

Cairo, 12114, Egypt

Location

Related Publications (1)

  • Zucchelli G, Mele M, Stefanini M, Mazzotti C, Marzadori M, Montebugnoli L, de Sanctis M. Patient morbidity and root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial. J Clin Periodontol. 2010 Aug 1;37(8):728-38. doi: 10.1111/j.1600-051X.2010.01550.x. Epub 2010 Jun 24.

    PMID: 20590963BACKGROUND

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

Gingival DiseasesPeriodontal DiseasesMouth DiseasesStomatognathic DiseasesPeriodontal Atrophy

Study Officials

  • Azza Ezz Elarab, Phd

    Professor

    STUDY CHAIR
  • Noha Ghallab, Phd

    Professor

    STUDY DIRECTOR
  • Weam El Battawy, Phd

    Lecturer

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Masking Details
Single blinded: * Blinding of the participants is not applicable. * Blinding of the operator is not applicable. * Outcome assessor (primary and secondary outcomes) \& biostatistician will be blinded.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Parallel groups, randomized clinical trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal investigator

Study Record Dates

First Submitted

July 6, 2017

First Posted

July 11, 2017

Study Start

October 17, 2017

Primary Completion

May 27, 2019

Study Completion

July 27, 2019

Last Updated

August 13, 2019

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will not share

Locations